| David E Thome Dds Pllc L1 | |
|
9055 Cresswind Blvd Ste 104 Charlotte NC 28215-2272 | |
| (704) 350-2152 | |
| Not Available |
| Full Name | David E Thome Dds Pllc L1 |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9055 Cresswind Blvd Ste 104, Charlotte, North Carolina |
| Authorized Official Name and Position | Lucenda Harris (CREDENTIALING AND CONTRACTING COORD) |
| Authorized Official Contact | 7043619508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Thome Dds Pllc L1 8604 Cliff Cameron Dr Ste 170 Charlotte NC 28269-8508 Ph: (704) 361-9508 | David E Thome Dds Pllc L1 9055 Cresswind Blvd Ste 104 Charlotte NC 28215-2272 Ph: (704) 350-2152 |
| NPI Number | 1033817770 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033817770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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